The emerging role of fasting-mimicking diets in cancer treatment

Yu-Jia Zhai, Pei-Yao Si, Ming-Li Liu, Lan Huang
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Abstract

Abstract Cancer is one of the most common causes of morbidity and mortality worldwide. The high demand for specific nutrients and the sensitivity to nutritional deficiencies are newly recognized features of cancer cells. Dietary interventions can suppress tumor demand for particular nutrients and alter certain nutrients to target a tumor's metabolic vulnerability. Cyclic fasting or fasting-mimicking diets (FMDs) are popular approaches that can reduce nutrient intake over a specific period. Accumulating evidence suggests that FMDs attenuate tumor growth by altering the energy metabolism of cancer cells. Furthermore, FMDs potentiate the sensitivity of tumors to conventional cancer treatments and limit adverse events. Recent findings also highlight the potential value of FMDs in boosting antitumor immune surveillance. However, clinical trials regarding the impact of FMDs on cancer patients remain limited and controversial. Here, we provide the latest information on the effects of FMDs on cancer progression and treatment, focusing on future clinical applications.
空腹模拟饮食在癌症治疗中的新作用
摘要 癌症是全世界最常见的发病和死亡原因之一。对特定营养素的高需求和对营养缺乏的敏感性是新近认识到的癌细胞特征。饮食干预可抑制肿瘤对特定营养素的需求,并改变某些营养素,以针对肿瘤的代谢脆弱性。周期性禁食或禁食模拟饮食(FMD)是一种流行的方法,可在特定时期内减少营养素的摄入。越来越多的证据表明,FMD 可通过改变癌细胞的能量代谢来抑制肿瘤生长。此外,FMD 还能增强肿瘤对常规癌症治疗的敏感性,并限制不良反应的发生。最近的研究结果还强调了 FMDs 在增强抗肿瘤免疫监视方面的潜在价值。然而,有关 FMDs 对癌症患者影响的临床试验仍然有限且存在争议。在此,我们将提供有关 FMD 对癌症进展和治疗的影响的最新信息,重点关注未来的临床应用。
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